Qhov ntev ntawm txoj hnyuv me hauv tus neeg noj qab haus huv yog li 6 meters. Tag nrho cheeb tsam ntawm cov hnyuv me mucosa yog loj - txog 500 m2, uas yog commensurate nrog thaj tsam ntawm lub tsev hais plaub ntaus pob tesniv; colon - 4 m2 - sib npaug rau thaj tsam ntawm lub rooj ntaus pob tesniv. Thaum ib feem loj ntawm txoj hnyuv raug tshem tawm, nws txoj haujlwm tau txo qis, uas ua rau cov hnyuv tsis ua haujlwm thiab cov tsos mob ntawm lub plab zom mov luv. Kev rov qab los yog qhov nyuaj tshwj xeeb yog tias cov hnyuv tau khaws cia tsawg dua 2 meters.
Qhov laj thawj tseem ceeb rau kev kho plab hnyuv loj:
- thrombosis thiab embolism ntawm cov hlab ntsha hauv plab (30-90%);
- Crohn's disease (50%);
- Gardner syndrome (20%);
- periarteritis nodosa (15%);
- mob plab hnyuv (1-16%);
- posttradiation enteritis (10%);
- Intestinal angiomatosis (4%).
Nyob rau hauv lub cev Anatomy
Khoom noj hauv plab nkagcov hnyuv me, muaj peb ntu, uas txawv ntawm lawv txoj haujlwm. Tom ntej no, ib pob ntawm digested zaub mov - chyme - nkag mus rau hauv cov hnyuv loj, uas kuj muaj peb seem. Nruab nrab ntawm lawv yog lub ileocecal valve, uas ua raws li damper. Qhov qis ntawm txoj hnyuv loj - lub qhov quav - ua haujlwm rau kev sib sau ntawm cov quav, xaus nrog lub qhov quav.
kev xaiv ua haujlwm
Nyob ntawm thaj chaw ntawm pathology vim qhov kev ua haujlwm tau ua, ib feem lossis tag nrho cov hnyuv me, ib feem ntawm txoj hnyuv lossis lub qhov quav tuaj yeem raug tshem tawm. Muaj peb hom kev kho mob.
- Tshem tawm ib feem ntawm cov hnyuv me, thaum khaws ib feem ntawm ileum, ileocecal valve thiab cov hnyuv loj. Cov neeg mob no tsis tshua muaj mob hnyav tom qab phais.
- Tshem tawm ntawm ib feem ntawm jejunum, tag nrho ileum thiab ileocecal valve nrog tsim kev sib txuas (anastomosis). Cov neeg mob zoo li no yuav muaj steatorrhea, noj zaub mov tsis txaus, thiab lwm yam teeb meem. Txawm li cas los xij, dhau sijhawm, lub cev tuaj yeem hloov mus rau cov xwm txheej tshiab.
- Kev kho ntawm txoj hnyuv loj (colectomy) nrog kev tsim cov fistula ntawm jejunum (jejunostomy) lossis ileum (ileostomy) los ntawm phab ntsa plab mus rau sab nraud. Los ntawm lub qhov tsim, cov quav yuav raug tshem tawm, yog li nws yog hu ua lub qhov quav tsis zoo. Hauv cov neeg mob no, kev yoo mov hauv plab tsis tau pom. Muaj peev xwm noj tsis tu ncua ntawm saline, qabzib, tshuaj tiv thaiv kab mob, hauv qee tus neeg mob - parenteralfood.
Txhim kho mob tom qab phais mob nyob ntawm qhov chaw ntawm kev phais
Zoo nyob ntawm seb qhov twg ntawm lub cev raug tshem tawm, qee cov tsos mob tseem ceeb.
Kev zom ntawm txhua yam khoom noj khoom haus sib txuas tshwm sim hauv cov hnyuv me, thiab feem ntau ntawm cov tshuaj hydrolyzed, vitamins, microelements thiab dej tau nqus ntawm no. Resection ntawm txoj hnyuv me ua rau:
- deficiency ntawm txhua yam khoom noj hauv lub cev thaum lawv nkag mus rau hauv plab zom mov ib txwm;
- zawv plab vim qhov nqus dej tsawg zuj zus.
Txhua qhov ntawm txoj hnyuv me ua nws txoj haujlwm, yog li kev tshem tawm ntawm cov hnyuv sib txawv yog tshwm sim los ntawm cov tsos mob sib txawv.
Dej thiab cov as-ham yog absorbed feem ntau hauv txoj hnyuv sab sauv (jejunum). Cov secrets tsim nyob rau hauv lub digestive ib ntsuj av, bile, enzymes, yog absorbed tsuas yog nyob rau hauv qis seem (ileum), ib feem ntawm cov dej kuj absorbed ntawm no. Yog li ntawd:
- Kev tshem tawm ntawm jejunum tsis ua rau raws plab raws li qhov seem ileum siv dhau qhov nqus dej.
- Kev tshem tawm ntawm ileum ua rau mob raws plab heev, vim hais tias cov secrets tsim nyob rau hauv lub yav dhau los seem ntawm cov kab mob tsis muaj nyob rau hauv absorbed, lawv dilute lub chyme, yog li ua rau cov quav dej ntau. Tsis tas li ntawd, qhov tsis muaj ileum tiv thaiv kev nqus ntawm cov kua tsib thiab fatty acids, uas nkag mus rau hauv cov hnyuv loj, qhov chaw uas lawv nyiam dej, ua rau mob plab.
Ileocecal valve uas kaw txoj kev ntawm qhov nyias thiabtxoj hnyuv loj, yog qhov tseem ceeb heev hauv kev zom zaub mov. Kev tshem tawm ntawm lub flap no rau kev phais me me:
- ua kom nrawm dhau ntawm chyme, ua rau txo qis kev nqus ntawm electrolytes, as-ham thiab kua;
- txhawb kev nkag mus ntawm microflora los ntawm txoj hnyuv loj mus rau hauv txoj hnyuv me, uas ua rau muaj cov kab mob ntau dhau.
Cov hnyuv loj nqus qee cov dej thiab cov electrolytes, tsim cov quav. Cov microflora ntawm lub cev no tsim cov vitamins ntawm pab pawg B thiab vitamin K. Ntawm no qhov kawg fermentation ntawm cov rog rau luv fatty acids tshwm sim, uas yog ib qho tseem ceeb lub zog substrates thiab kuj muaj antimicrobial nyhuv.
Kev tshem tawm ntawm txoj hnyuv loj ua rau poob dej thiab cov zaub mov, ua rau tsis muaj cov vitamins. Fecal masses tsis muaj sijhawm los tsim. Kev khaws cia ntawm txoj hnyuv loj heev kom them nyiaj rau malabsorption ntawm carbohydrates thiab rog, nrog rau cov kua dej.
Tag nrho ntawm tag nrho cov kab mob uas tshwm sim los ntawm txoj hnyuv resection yog koom ua ke nyob rau hauv lub npe dav dav - luv plob tsis so tswj syndrome. Txhua yam teeb meem uas tshwm sim yog vim:
- kev zom zaub mov;
- malabsorption;
- trophological deficiency;
- kev koom tes ntawm lwm yam kabmob hauv cov txheej txheem pathological.
Kev rov qab los tom qab tshem tawm txoj hnyuv
Hloov pauv hauv lub cev tom qab kev phais plab zom mov tshwm sim hauv peb theem.
- Post-operative stage -kav los ntawm ib lub lis piam mus rau ob peb lub hlis. Nws yog tus cwj pwm los ntawm dej raws plab (txog 6 litres ib hnub), nrog rau kev poob ntawm sodium, potassium, chlorides, magnesium, bicarbonates. Qhov no ua rau lub cev qhuav dej thiab tsis muaj electrolyte hnyav, kev loj hlob ntawm cov kab mob metabolic hnyav, ua txhaum ntawm cov protein, dej, electrolyte thiab vitamin metabolism.
- Subcompensation theem - txuas ntxiv rau ib xyoos tom qab kev tshem tawm plab hnyuv. Muaj ib tug gradual adaptation ntawm lub digestive system: lub zaus ntawm cov quav txo, metabolic dab normalizes. Hauv qhov no, qhov nqus ntawm cov as-ham tsis rov qab los. Yog li ntawd, vitamin deficiency thiab anemia tau sau tseg, tshwm sim los ntawm kev qaug zog, dermatitis, rhiab heev (xws li, goosebumps, tingling), tawv nqaij qhuav, nkig rau tes. Yuav luag txhua tus neeg mob tsis hnyav.
- theem hloov kho - pib kwv yees li ob xyoos tom qab tshem tawm plab hnyuv. Rau nws qhov pib, ib qho kev hloov kho cov txheej txheem ntawm cov hnyuv me yog tsim nyog. Yog tias txoj hnyuv hloov mus, tus neeg mob tus mob stabilizes. Cov tsos mob ntawm kev mob raws plab yuav txo qis, lub cev hnyav yuav rov qab los. Tab sis cov teeb meem yuav tshwm sim nyob rau hauv daim ntawv ntawm cov synthesis ntawm pob zeb nyob rau hauv lub gallbladder thiab zais zis, qhov tsos ntawm lub plab rwj. Anemia tuaj yeem tshwm sim.
Tom qab tso quav tso quav, rov kho cov haujlwm yog ua tau yog tias muab ntxov li sai tau:
- normalization ntawm cov ntsiab lus ntawm cov protein, rog, carbohydrates, vitamins hauv lub cev;
- pib digestion stimulation;
- pib txheej txheemsuction;
- restoration ntawm plab hnyuv microbiota.
Txoj hauv kev zoo tshaj plaws los pib cov txheej txheem hloov pauv hauv cov hnyuv yog ua kom nws ua haujlwm. Yog tias tsis muaj cov khoom noj khoom haus, lub cev yuav tsis pib zoo. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau pib noj zaub mov kom sai li sai tau. Kev sib cuag ntawm cov as-ham nrog enterocytes ua rau cov synthesis ntawm cov tshuaj hormones thiab enzymes ntawm txoj hnyuv thiab txiav, uas txhawb cov txheej txheem hloov pauv. Qhov xwm ntawm kev noj haus kuj ua lub luag haujlwm loj. Kev noj haus yuav tsum muaj fiber ntau, glutamine, luv fatty acids.
Cov ntsiab lus ntawm kev noj zaub mov hauv lub sijhawm postoperative
Nyob rau lub sijhawm tom qab phais plab hnyuv kom cawm tus neeg mob txoj sia, kev ntsuas los tiv thaiv cov teeb meem yog qhov tseem ceeb: lub cev qhuav dej, hypovolemia, hypotension, electrolyte cuam tshuam. Thaum cov xwm txheej no raug tshem tawm, nyob rau 2-3 hnub tom qab kev ua haujlwm, parenteral (kev hla lub plab zom mov) cov khoom noj khoom haus pib tsim nrog kev qhia txog lub zog substrates. Cov piam thaj ntau ntau, cov tshuaj isotonic ntawm sodium chloride, calcium, potassium, magnesium ntsev tau muab tso rau hauv cov hlab ntsha.
Thaum tus neeg mob tus mob nyob ruaj khov, raws plab yog tswj tau, enteral (siv lub plab zom mov) khoom noj khoom haus yog muab. Tom qab ib tug me me resection ntawm txoj hnyuv, khoom noj khoom haus yog muab rau 3-5 hnub, tom qab uas nws kim heev ib tug - los ntawm ib tug soj ntsuam tom qab 2-4 lub lis piam. Tej zaum yuav ua rau mob raws plab tom qab pib cov khoom noj nkag mus. Txawm li cas los xij, nws tsis tuaj yeem nres, nws yog qhov yuav tsum tau txo qis ntawm kev tswj hwm tshuaj.
Maj mam, raws li tus neeg mob tus mob zoo dua, lawv hloov mus rau qhov qubqhov ncauj (los ntawm qhov ncauj) zaub mov. Feem ntau, kev noj zaub mov No. 0a, 1a, 1, 1b tau muab tshuaj ua ntu zus.
Kev noj zaub mov 0a muaj lub zog qis, yog li tus neeg mob tsis txaus cov khoom noj. Protein deficiency yog qhov txaus ntshai heev. Cov txheej txheem ntawm catabolism pib kov yeej cov txheej txheem ntawm kev sib txuas, cov txheej txheem rov qab yog inhibited, uas yog fraught nrog cov txiaj ntsig tsis zoo, tshwj xeeb tshaj yog tias cov txheej txheem metabolic twb raug cuam tshuam ua ntej kev ua haujlwm. Yog li, kev noj zaub mov ua ke nrog parenteral thiab enteral kev tswj hwm ntawm cov as-ham raug sau tseg. Cov ntsiab lus calorie tag nrho yog nce ntxiv thiab ntau txog 3500 kcal ib hnub.
Nyob rau hauv rooj plaub zoo ntawm kev noj zaub mov tsis zoo, tom qab 2-3 hnub tus neeg mob tau txais kev noj haus No. 1a (lwm lub npe yog 0b). Raws li txoj cai, tus neeg mob tseem nyob ntawm qhov kev xaiv noj zaub mov no tom qab tshem tawm plab zom mov kom txog thaum tawm hauv tsev kho mob.
Post-Discharge Nutrition Principles
Tsim kom muaj kev noj haus kom raug thiab ua raws li nws nruj me ntsis yog qhov tseem ceeb tshaj plaws rau kev rov zoo.
Ob lub lis piam tom qab phais plab, kev noj zaub mov hloov ntawm No. 1a mus rau 1 phais. Tab sis tsis pub dhau 3-4 lub lis piam nws raug pom zoo kom so tag nrho cov zaub mov. Lub hauv paus ntsiab lus ntawm thermal thiab mechanical sparing yuav tsum tau soj ntsuam. Cov tais diav yog steamed los yog boiled, tag nrho cov zaub mov yog huv si crushed rau ib tug kua los yog mushy sib xws, txiv hmab txiv ntoo yog rubbed, jelly thiab compotes yog npaj los ntawm lawv. Tsis suav cov khoom uas ua rau kom rotting thiab fermentation - cov khoom noj kaus poom, cov nqaij haus luam yeeb, txuj lom.
Yog tias noj zaub mov zoo,koj tuaj yeem maj mam hloov mus rau qhov tsis yog-mashed version ntawm kev noj haus No. 1 phais. Qhov no txhais tau hais tias kev txo qis txhua hnub ntawm cov pluas noj nrog kev ua haujlwm siab tshaj plaws thiab thermal ua haujlwm. Kev ua siab ntev ntawm cov zaub mov tshiab qhia txog kev tsim cov tshuaj tiv thaiv kab mob ntawm lub plab zom mov, normalization ntawm nws cov dej num, uas tso cai rau koj nthuav cov zaub mov. Qhov kev hloov pauv no yuav tsum siv sijhawm tsawg kawg 2 lub lis piam, thiab qee zaum nce mus txog 5-6.
Nyob rau hauv cov khoom noj uas tsis yog-mashed, zaub mov tuaj yeem boiled, tom qab boiling nws tuaj yeem ci hauv ib thooj. Kev xaiv dav dav ntawm zaub thiab txiv hmab txiv ntoo purees, compotes raug tso cai. Cov pluas noj yuav tsum yog feem ntau - tsawg kawg yog 6 zaug hauv ib hnub.
Qhov tshwm sim ntawm kev tshem tawm plab hnyuv muaj xws li nce rhiab heev ntawm lub plab zom mov rau qee yam khoom noj. Ua ntej ntawm tag nrho cov, peb tab tom tham txog tag nrho cov mis nyuj, nrog rau cov khoom noj muaj roj, nrog rau cov roj zaub, muaj zog broths, decoctions, zaub tshiab thiab txiv hmab txiv ntoo, zaub mov acidic. Mis intolerance yog sau tseg nyob rau hauv 65% ntawm cov neeg mob tom qab lub plab hnyuv resection, nyob rau hauv cov ntaub ntawv no, kev noj haus yuav tsum tau hloov, tsis muaj yuav tsum tau xyaum "kev cob qhia" lub cev tsis taus nrog cov khoom noj siv mis nyuj. Tag nrho cov mis nyuj yuav tsum tau hloov nrog cov kua mis los yog lwm cov kua mis cog rau ntau lub hlis lossis ntau xyoo kom txog thaum lactose intolerance dhau.
Kev noj zaub mov hauv thawj lub hlis tom qab phais
Nyob rau hauv thawj lub hlis tom qab resection, ob qho tib si cov hnyuv me thiab loj tau muab tshuaj noj tib yam.
noj 0a.
Teem tau ob lossis peb hnub. Cov zaub mov yog kua los yog jelly zoo li. Cov ntsiab lus calorie ntawm cov khoom noj yog 750-800 kcal. Koj tuaj yeem haus li 2 litres dej dawb.
Tso cai: nqaij qaib tsis muaj rog tsis muaj rog, mov nplej nrog butter, strained compote, kua jelly, rosehip broth nrog qab zib, tsis pub ntau tshaj 50 ml ntawm freshly ua kua txiv los ntawm txiv hmab txiv ntoo los yog berries, diluted 2 zaug nrog dej. Hnub thib peb lossis plaub, thaum tus mob stabilizes, koj tuaj yeem ntxiv qe mos, butter lossis qab zib.
Tsis suav nrog: khoom noj khoom haus, mis nyuj thiab qab zib, qaub cream, kua txiv hmab txiv ntoo, dej qab zib carbonated.
Noj 1a phais.
Calorie ntsiab lus 1500-1600 kcal, kua - mus txog 2 litres, pluas mov - 6. Pureed kua cereals los ntawm oatmeal, mov, buckwheat siav nyob rau hauv nqaij broth los yog dej nyob rau hauv ib nrab nrog mis nyuj yog ntxiv rau cov twb tau qhia tais diav; mucous kua zaub los ntawm cereals nyob rau hauv zaub broth; steamed protein omelet, steamed mashed qos yaj ywm los yog soufflés los ntawm nqaij los yog ntses (tsis muaj fascia thiab rog), qab zib (txog 100 ml), jelly, mousses los ntawm non-acidic berries.
Kev noj 1b phais.
Qhov no yog ib qho kev hloov pauv ntawm cov khoom noj yav dhau los thiab ua haujlwm los npaj tus neeg mob lub plab zom mov kom hloov mus rau cov khoom noj khoom haus zoo. Cov ntsiab lus calorie ntawm cov khoom noj nce mus txog 2300, cov zaub mov tseem tshuav 6. Cov tais diav yuav tsum tsis txhob kub (tsis ntau tshaj 50 ° C) thiab tsis txias (tsawg kawg 20 ° C).
Cov kua zaub ntxiv rau hauv daim ntawv ntawm cov qos yaj ywm mashed los yog qab zib, steamed tais diav los ntawm mashed boiled nqaij, ntses los yog nqaij qaib; tshiab tsev cheese, mashed nrog cream mus rau qhov sib xws ntawm tuab qaub cream, steamed lauj kaub tais diav los ntawm tsev cheese, fermented mis nyuj khoom, ci txiv apples, mashed zaub thiab txiv hmab txiv ntoo, dawb crackers. Porridge yog siav raumis, mis nyuj kuj ntxiv rau tshuaj yej.
Kev noj zaub mov tom qab lub plab zom mov me
Thaum kho cov hnyuv, cov npe hauv qab no ntawm cov tais diav thiab cov khoom raug pom zoo:
- Yesterday's wheat bread.
- Cov kua zaub hauv cov kua zaub tsis muaj zog - nqaij los yog ntses, nrog nqaij npuas, vermicelli lossis boiled cereals.
- Cutlets lossis meatballs los ntawm nqaij nyuj, nqaij nyug, luav, nqaij qaib, qaib ntxhw. Lean ntses, steamed los yog boiled.
- Qos yaj ywm thiab carrots ua ib lub tais nyias lossis sab phaj - boiled thiab mashed. Tsis suav nrog zaub qhwv, beets, radishes, turnips, txiv lws suav, qej, sorrel, nceb.
- Porridges (tshwj tsis yog barley thiab millet) ntawm dej nrog ntxiv ntawm ib feem peb ntawm cov mis nyuj, tais diav los ntawm legumes, pasta.
- qe boiled los yog steam omelet ntawm ob proteins.
- Pub mis me me (tsuas yog nyob rau hauv cov khoom xyaw ntawm cereals), qaub cream thiab qab zib (raws li ib qho ntxiv rau cov tais diav). Cov tsev cheese tshiab, ci lossis steamed tsev cheese puddings raug tso cai. Thaum lub mis intolerance tshwm sim, koj yuav tsum tsis txhob siv mis nyuj ntev (qee zaum mus ib txhis). Cov khoom noj mis nyuj tau raug hloov nrog cov kua txiv hmab txiv ntoo, uas kuj yog cov nplua nuj ntawm cov protein.
- Kissels, pureed compotes, jelly, ci txiv apples xwb.
- Rosehip broth, tshuaj yej, kas fes dub.
Txhawm rau pab txhawb cov neeg mob uas muaj kev phais plab hnyuv loj hauv lub sijhawm tom qab phais mob, cov khoom noj khoom haus feem ntau siv, uas yog siv los ntxiv rau cov khoom noj lossis cov zaub mov tseem ceeb. Cov khoom sib xyaw zoo sib xws tau tsim tawm txawv teb chaws thiab hauv peb lub teb chaws tau nthuav dav hauv khw muag tshuaj thiab khw muag khoom. Lawv tso caince calorie ntsiab lus ntawm cov khoom noj, muab cov yas thiab lub zog xav tau, thaum tsis overloading lub enzyme systems ntawm lub plab zom mov.
Kev noj qab haus huv tom qab tshem tawm txoj hnyuv
Khoom noj tshwj xeeb yuav tsum muaj nyob rau hauv cov neeg mob tom qab tshem cov hnyuv loj thiab tshem tawm ntawm qhov quav tsis zoo. Cov neeg mob zoo li no yuav tsum saib peb qhov kev noj zaub mov tseem ceeb:
- tau noj;
- zoo ntawm cov khoom uas nyias nyias lossis tuab quav;
- sijhawm noj mov.
Tus nqi ntawm cov khoom noj uas tau noj yuav tsum nyob rau tib qhov kev faib ua feem nrog cov kua cawv. Piv txwv li, rau pluas tshais, tus neeg mob ib txwm noj ib lub tais ntawm porridge thiab haus ib khob tshuaj yej. Porridge tuaj yeem yog los ntawm cov khoom noj sib txawv, thiab cov tshuaj yej tuaj yeem yog qhov sib txawv ntawm cov tshuaj yej nplooj. Noj su, noj hmo, thiab lwm yam zaub mov yuav tsum muaj cov khoom noj khoom haus ruaj khov thiab kua dej. Yog li nws yuav muaj peev xwm tswj tau qhov ntom ntawm cov quav.
Yog tias nws yuav tsum ua kom tuab cov quav, porridge yog siav thicker, los ntawm mov thiab buckwheat, semolina thiab peas raug cais tawm. Tshem tawm txhua yam uas txhawb nqa peristalsis thiab roj tsim: cov khoom siv mis nyuj qaub, txiv hmab txiv ntoo tshiab, kas fes nrog mis nyuj, plum compote.
Yuav kom cov quav nyias nyias, ua kom cov kua hauv cov khoom noj, txo cov khoom noj, txo cov ntsev, qhia prunes, txiv hmab txiv ntoo, yogurt, zaub zaub tsis muaj nqaij rau hauv kev noj haus.
Qhov thib peb rau cov quav ib txwm yog noj ntawm qee yam, tsim lub sijhawm thiabmus ib txhis saib.
Tus neeg mob rov kho dua
Tom qab tso quav tso quav, rov kho dua suav nrog kev kho lub cev thiab kinesitherapy - kev kho mob qoj ib ce.
Tom qab kev phais, cov neeg mob muaj kev cuam tshuam nrog tus kab mob nws tus kheej, phais, tshuaj loog, tsis muaj zog. Piv txwv li, qhov mob ntawm qhov chaw phais ua rau txo qis hauv qhov nqus pa, tus neeg mob yuav tsis siv lub diaphragm txhua. Tsis tas li ntawd, stagnation thiab tshuaj loog ua rau spasms ntawm me me bronchi, thaiv lawv nrog hnoos qeev. Yog li ntawd, tom qab ua haujlwm, tshwj xeeb tshaj yog tias tus neeg mob pw tsaug zog ntev ntev, kev ua pa ua pa yog tsim nyog uas suav nrog tag nrho cov ntsws ntawm lub ntsws, ua rau lub ntsws nthuav dav.
Nyob rau lub sijhawm ua haujlwm tom qab, kev tawm dag zog tso cai rau koj:
- tiv thaiv cov teeb meem - kab mob ntsws, atelectasis, plab hnyuv atony, thrombosis;
- txhim kho kev ua haujlwm ntawm cov hlab plawv thiab ua pa;
- txhim kho kev puas siab puas ntsws lub xeev,
- tiv thaiv adhesion,
- tsim kom muaj elastic, txav caws pliav.
Contraindications rau kev tawm dag zog kho mob: mob hnyav, mob plawv tsis ua haujlwm, peritonitis.
Yog tias tsis muaj contraindications, kev tawm dag zog pib txij thawj teev tom qab ua haujlwm - ua pa ua pa, sov so rau ntiv tes, taw thiab tes, zaws hauv siab.
Lub txaj pw yuav tsum tau saib xyuas 1-6 hnub tom qab kev phais, nyob ntawm tus neeg mob tus mob. TeemKev ua pa ua pa, ua kom lub cev ua haujlwm rau cov leeg nqaij hauv plab, ua haujlwm rau kev ua pa diaphragmatic, kev cog lus ntawm cov leeg ntawm lub perineum (txo qis hauv cov plab hnyuv siab raum), torso rotations.
Hnub 6-12, koj tuaj yeem xyaum pw, zaum thiab sawv.
Hnub 12-14th, kev xaiv ntawm hom kev tawm dag zog lub cev nthuav dav, koj tuaj yeem siv cov cuab yeej gymnastic, sedentary games, dosed taug kev tau tso cai.
Ib hlis tom qab kev ua haujlwm, nws yog ib qho tsim nyog yuav tsum ua cov kev tawm dag zog ua haujlwm, ua haujlwm ntxiv dag zog rau cov leeg plab kom tiv thaiv kev ua haujlwm tom qab hernias. Taug kev, cov ntsiab lus ntawm kev ua si kis las, taug kev nyob ze, caij ski yog pom zoo.
